scholarly journals Feasibility and Quit Rates of the Tobacco Status Project: A Facebook Smoking Cessation Intervention for Young Adults

2015 ◽  
Vol 17 (12) ◽  
pp. e291 ◽  
Author(s):  
Danielle E Ramo ◽  
Johannes Thrul ◽  
Kathryn Chavez ◽  
Kevin L Delucchi ◽  
Judith J Prochaska
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Smoking Cessation Intervention ◽  
Cessation Intervention

scholarly journals Smoking cessation intervention trial outcomes for sexual and gender minority young adults.

2019 ◽  
Vol 38 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Erin A. Vogel ◽  
Johannes Thrul ◽  
Gary L. Humfleet ◽  
Kevin L. Delucchi ◽  
Danielle E. Ramo
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Smoking Cessation Intervention ◽  
Intervention Trial ◽  
Gender Minority ◽  
Cessation Intervention ◽  
Trial Outcomes ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals An Avatar-Led Intervention Promotes Smoking Cessation in Young Adults: A Pilot Randomized Clinical Trial

2020 ◽  
Vol 54 (10) ◽  
pp. 747-760
Author(s):  
Maria Karekla ◽  
Stella Nicoleta Savvides ◽  
Andrew Gloster
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Smoking Cessation Intervention ◽  
Intention To Quit ◽  
Control Group ◽  
Wait List ◽  
Wait List Control ◽  
Intention To Treat ◽  
Cessation Intervention ◽  
Quitting Smoking

Abstract Background Smoking remains a global concern, especially for young adults. There is a dearth of smoking cessation programs for this population, who seldom seek help or are motivated to quit. Purpose This pilot study assessed the effectiveness of a digital avatar-led Acceptance and Commitment Therapy (ACT) smoking cessation program (Flexiquit) for young adult smokers at all levels of motivation to quit. Methods Smokers with no particular interest in quitting smoking (65.45% reported being in pre-contemplation or contemplation stages of change) were recruited from three universities (105 smoking ≥ 1 cigarette per day during the past 30 days, 68 females). Those who completed questionnaires online (N = 84; M = 22.44 years, SD = 2.61, range 18–28 years old) were randomized to either a six-session avatar-led intervention (Flexiquit; N = 49) or a wait-list control (N = 35). Primary outcomes included cessation status (7-day point prevalence) and number of cigarettes smoked per day; secondary outcomes were nicotine dependence, intention-to-quit smoking and self-efficacy, assessed at pre- and post-intervention, and only for Flexiquit at 6-month follow-up. Results In intention-to-treat analysis more participants (OR = 3.10, 95% CI = 0.92–10.41) in the treatment group (28.57%) versus the control group (11.43%) reported quitting smoking; however, the difference was not statistically significant (p = .067). There were statistically significant decreases in average number of cigarettes, nicotine dependence and increases in self-efficacy, and intention-to-quit smoking compared to controls. Treatment gains in the Flexiquit group were maintained through the 6-month follow-up. Conclusions An avatar-led digitized smoking cessation intervention based on ACT could increase the odds of quitting smoking. Findings suggest that a digitized program designed to engage young adults in smoking cessation may result in quitting smoking and has a high applicability potential especially among the hard-to-reach population of young adults. Question Can an avatar-led digitized Acceptance and Commitment Therapy (ACT) smoking cessation intervention result in quitting smoking and increasing intention to quit among young smokers at various levels of motivation to quit, compared to a wait-list control group? Findings In this pilot randomized clinical trial that included 84 smokers, 28.57% in the treatment condition versus 11.43% in the wait-list control group were abstinent at post (intention-to-treat [ITT] analysis). An avatar-led digitized ACT smoking cessation intervention results in high quitting smoking rates and has a high applicability potential especially among the hard-to-reach population of young adult smokers.

scholarly journals Conversation Within a Facebook Smoking Cessation Intervention Trial For Young Adults (Tobacco Status Project): Qualitative Analysis (Preprint)

2018 ◽  
Author(s):  
Karma McKelvey ◽  
Danielle Ramo
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Behavior Change ◽  
Coping Skills ◽  
Smoking Cessation Intervention ◽  
Incentive Condition ◽  
Cessation Intervention ◽  
Motivation To Quit ◽  
Trial Testing ◽  
Readiness To Quit

BACKGROUND Smoking cessation interventions delivered through social media have the potential to engage young people in behavior change. OBJECTIVE The aim of this study was to describe participant-posted messages in a Facebook smoking cessation intervention for young adults to discern support for behavior change. METHODS We qualitatively analyzed data from the treatment arm of a randomized trial testing the efficacy of the Tobacco Status Project Facebook intervention. Young adults (N=138) aged 18-25 years (female: 81/138, 58.7%; white: 101/138, 73.2%; mean age 21 years) were recruited using Facebook and placed into one of the 15 secret Facebook groups based on readiness-to-quit smoking. Messages posted to groups for 90 consecutive days were tailored to readiness-to-quit: Not Ready (46/138, 33.3%), Thinking (66/138, 47.8%), and Getting Ready (26/138, 18.8%). Groups were randomized to receive up to US $90 for posting or no incentive. Two independent coders conducted open coding of user posts. We considered content by readiness-to-quit group and incentive condition. RESULTS There were 4 dominant themes across all groups: coping skills, friends and family, motivation to quit, and benefits of quitting. The dominant themes in Not Ready groups were friends and family (incentive) and motivation to quit (no incentive), whereas coping skills was the dominant theme in Thinking and Getting Ready groups. The expression of themes varied by readiness-to-quit group but not by incentive condition. CONCLUSIONS Intervention messages tailored to readiness-to-quit appear useful in eliciting the desired responses from young adult smokers, with limited influence by monetary incentive. CLINICALTRIAL ClinicalTrials.gov NCT02207036; https://clinicaltrials.gov/ct2/show/NCT02207036 (Archived by WebCite at http://www.webcitation.org/722XAEAAz)

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